Risk reduction of hospital admissions for people with dementia in German shared-housing arrangements with outpatient care

Conditions

Mild cognitive impairment, mild or moderate dementia (degenerative type, not solely vascular). Mental and Behavioural Disorders Unspecified dementia

Donath C, Kratzer A, Graessel E, Keck A, Günay S, Altona J, Misonow J, Stiefler S, Schmidt A, Wolf-Ostermann K.

2026-01-24

10.1186/s12888-026-07810-x

A complex intervention to reduce hospital admissions for people living with dementia in shared-housing arrangements in Germany: results of the multicenter, cluster-randomized controlled DemWG-study

Julia Misonow, Karin Wolf‐Ostermann, Janissa Altona, Annika Schmidt, Susanne Stiefler et al. (10 authors)

BMC Medicine2025-05-052 citations

10.1186/s12916-025-04090-2

Urban-rural differences in the health care of people living with dementia and mild cognitive impairment in shared-housing arrangements in Germany – have inequities in urban vs. rural locations been overcome?

Carolin Donath, Antonia Keck, Elmar Graessel, Janissa Altona, Susanne Stiefler et al. (9 authors)

BMC Health Services Research2025-03-134 citations

10.1186/s12913-025-12508-z

Agitation and aggression in people living with dementia and mild cognitive impairment in shared-housing arrangements - validation of a German version of the Cohen-Mansfield Agitation Inventory-Short Form (CMAI-SF).

Kratzer A, Scheel-Barteit J, Altona J, Wolf-Ostermann K, Graessel E, Donath C.

2023-05-295 citations

10.1186/s12955-023-02132-y

The DemWG study: reducing the risk of hospitalisation through a complex intervention for people with dementia and mild cognitive impairment (MCI) in German shared-housing arrangements: study protocol of a prospective, mixed-methods, multicentre, cluster-randomised controlled trial

André Kratzer, Jennifer Scheel, Karin Wolf‐Ostermann, Annika Schmidt, Katrin Ratz et al. (7 authors)

BMJ Open2020-12-015 citations

10.1136/bmjopen-2020-041891

Interventions

Treatment (the complex intervention) consists of three parts: 1. Education of nursing staff and other people working in shared-housing arrangements in detecting health risk situations and possible ac

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Current inclusion criteria as of 25/11/2019: 1. Resident of shared-housing arrangements (with outpatient care). 2. Mild cognitive impairment or mild to moderate dementia. 3. Shared-housing arrangement is located in Bavaria, Bremen, Hamburg or Berlin. In order to reach the target number of participants we opened up the recruitment regions for the shared housing-arrangements to the remaining federal states of Germany. Previous inclusion criteria: 1. Resident of shared-housing arrangements (with outpatient care). 2. Mild cognitive impairment or mild to moderate dementia. 3. Shared-housing arrangement is located in Bavaria, Bremen, Hamburg or Berlin.

Exclusion criteria

Exclusion criteria: 1. Severe hearing impairment. 2. Severe visual impairment. 3. Severe dementia. 4. Cognitive decline due to diseases other than dementia (e.g. schizophrenia or Korsakov). 5. Permanently immobile. 6. No verbal communication in German possible. 7. History of more than one stroke. 8. History of severe major depression.

Design outcomes

Primary

Measure	Time frame
Hospital admissions in the preceding 6 months are measured by nursing documentation of frequency, reasons and dates of hospital admissions at baseline, 6 months, 12 months and 18 months.	—

Secondary

Measure	Time frame
1. Quality of life is measured by QUALIDEM at baseline, 6 months, 12 months and 18 months. 2. Behavioural and psychological symptoms of dementia and agitation are measured by Neuropsychiatric Inventory (NPI) and Cohen-Mansfield Agitation Inventory (CMAI) at baseline, 6 months, 12 months and 18 months. 3. Falls are measured by a self-developed questionnaire at baseline, 6 months, 12 months and 18 months. 4. Cognition is measured using the Mini-Mental State Examination (MMSE) at baseline, 6 months, 12 months and 18 months.	—

Measure

Time frame

1. Quality of life is measured by QUALIDEM at baseline, 6 months, 12 months and 18 months. 2. Behavioural and psychological symptoms of dementia and agitation are measured by Neuropsychiatric Inventory (NPI) and Cohen-Mansfield Agitation Inventory (CMAI) at baseline, 6 months, 12 months and 18 months. 3. Falls are measured by a self-developed questionnaire at baseline, 6 months, 12 months and 18 months. 4. Cognition is measured using the Mini-Mental State Examination (MMSE) at baseline, 6 months, 12 months and 18 months.

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Countries

Germany

Outcome results

None listed